Compliance with Individual
and Group Market Reforms under Title XXVII of the Public Health
Service Act (CMS-10430)
Revision of a currently approved collection
No
Regular
11/06/2024
Requested
Previously Approved
36 Months From Approved
11/30/2025
12,891
51,385
2,408
1,786
0
0
Sections 2723 and 2761 of the Public
Health Service Act (PHS Act) direct the Centers for Medicare and
Medicaid Services (CMS) to enforce a provision (or provisions) of
title XXVII of the PHS Act (including the implementing regulations
in parts 144, 146, 147, and 148 of title 45 of the Code of Federal
Regulations) with respect to health insurance issuers when a state
has notified CMS that it has not enacted legislation to enforce or
that it is not otherwise enforcing a provision (or provisions) of
the group and individual market reforms with respect to health
insurance issuers, or when CMS has determined that a state is not
substantially enforcing one or more of those provisions. This
collection of information includes requirements that are necessary
for CMS to conduct compliance review activities.
PL:
Pub.L. 111 - 148 Title I Name of Law: Affordable Care Act
US Code: 42
USC 300gg-23 Name of Law: Individual and Group Market
Reforms
US Code: 42
USC 241 Name of Law: Research and investigations generally
PL:
Pub.L. 105 - 277 Title IX Name of Law: The Women's Health and
Cancer Rights Act of 1998
PL:
Pub.L. 104 - 204 Title VI Name of Law: Newborns' and Mothers'
Health Protection Act of 1996
PL:
Pub.L. 104 - 191 Title I Name of Law: Health Insurance
Portability and Accountability Act of 1996 (HIPAA)
PL:
Pub.L. 110 - 343 Title V Name of Law: Paul Wellstone and Pete
Domenici Mental Health Parity and Addiction Equity Act of 2008
PL:
Pub.L. 110 - 223 Title I Name of Law: Genetic Information
Nondiscrimination Act of 2008
US Code: 42
USC 300gg-61 Name of Law: Individual Market Rules
The estimated burden related to
the Federal collection and review of issuers’ form filings has
increased by 812 hours (from 329 hours to 1,141 hours) due to an
increase in the number of issuers submitting forms for CMS’ review
(from 47 in 2021 to 163 in 2024). The estimated burden related to
the issuer disclosure to small employers has decreased by 38 hours
(from 682 hours to 644 hours) due to a decrease in the estimated
number of issuers in the small group market (from 341 to 322). The
estimated burden related to opt-out notices has decreased by 152
hours (from 175 hours to 23 hours) due to a decrease in the
estimated number of plans opting out (from 350 to 46). Therefore,
total burden hours have increased by 622 hours (from 1,786 to
2,408).
$3,788,899
No
No
No
Yes
No
No
No
Jamaa Hill 301 492-4190
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
CMS-10430 - Supporting Statement TCRedlinef.docx
Information Collection Requirements for Compliance with Individual and Group Market Reforms under Title XXVII of the Public Health Service Act